Tuesday, 25 March 2025 00:00

Managing Fungal Toenail Infections

Toenail fungus causes toenails to become brittle, crumbly, discolored, or misshapen. In some cases, the nails may thicken, separate from the nail bed, or emit a foul odor. The fungus thrives in warm, moist environments, making it easy to contract in places like locker rooms or public shower areas. Symptoms include pain or discomfort when wearing shoes or walking. The condition can also spread to other nails or skin, if left untreated. Treating toenail fungus can be challenging, as visible results often take months due to the slow growth of toenails. Available treatments include topical medications, oral antifungal drugs, and laser therapy. Podiatrists often recommend a combination of oral and topical treatments for the best results. However, oral medication may come with side effects, and topical treatment may not be as effective for severe cases. If you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist.

For more information about treatment, contact David Reynolds, DPM of First Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Evansville, IN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 25 March 2025 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.

Prevent injuries and see a foot specialist.

Tuesday, 18 March 2025 00:00

Common and Uncommon Causes of Ankle Pain

Ankle pain can stem from various conditions, ranging from everyday injuries to underlying medical issues. Common causes include sprains, strains, fractures, and arthritis, which can lead to swelling, stiffness, and discomfort. Overuse injuries, such as tendonitis, are also frequent, especially in athletes and active individuals. Less common causes of ankle pain include nerve compression, gout, infections, or vascular issues, which may result in persistent or worsening symptoms. Structural problems, like flat feet or high arches, can also contribute to chronic discomfort. Ignoring ankle pain may lead to long-term mobility issues. If you are experiencing ongoing pain, swelling, or instability of your ankles, it is suggested that you consult a podiatrist for a proper diagnosis and appropriate care.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with David Reynolds, DPM from First Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact our office located in Evansville, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Tuesday, 18 March 2025 00:00

Various Causes of Ankle Pain

Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.

Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains. 

An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.

Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.

Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.

Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.

Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuriesflat feet, or an infection in the ankle.

Tuesday, 11 March 2025 00:00

Who Gets Bunions?

Bunions are a foot condition where the big toe points toward the second toe, causing a bony bump to form at the base of the toe. They are particularly common in older women, anyone with flat feet, or people with a family history of bunions. Pregnancy can also contribute, as hormonal changes and weight gain put additional pressure on the feet. Symptoms of bunions include pain, swelling, and redness surrounding the joint, often worsened by wearing tight or narrow shoes. As the condition progresses, it can lead to difficulty walking and discomfort during daily activities. A podiatrist can diagnose the severity of the bunion and offer treatment options to reduce pain and slow progression. Conservative options include custom orthotics, padding, or changes to footwear. In more severe cases, surgery may be needed to realign the toe. If you have a bunion, it is suggested that you schedule an appointment with a podiatrist for proper treatment.

If you are suffering from bunions, contact David Reynolds, DPM of First Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our office located in Evansville, IN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 11 March 2025 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Tuesday, 04 March 2025 00:00

Surgery for Ingrown Toenails

When an ingrown toenail becomes severe, surgery may be necessary to relieve pain and prevent infection. A podiatrist can perform different types of ingrown toenail surgery based on the severity of the condition. Partial nail avulsion surgery involves removing the part of the nail that is growing into the skin while preserving the healthier portion of the nail. In more severe cases, a total nail avulsion may be required, in which the entire nail is removed. To reduce the chance of recurrence, a podiatrist may perform a matrixectomy. This procedure destroys part or all of the nail matrix to prevent regrowth in the affected area. Ingrown toenail surgeries are typically performed at the podiatrist’s office setting with local anesthesia to minimize discomfort. Afterward, patients receive guidance on keeping the area clean and monitoring for any signs of infection. Addressing an ingrown toenail early can help prevent complications such as persistent pain, swelling, and drainage. If you are suffering from a severely ingrown toenail, it is suggested that you schedule an appointment with a podiatrist to find out if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact David Reynolds, DPM of First Podiatry. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our office located in Evansville, IN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 04 March 2025 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Tuesday, 25 February 2025 00:00

Keeping Feet Healthy and Beautiful for Life

Feet carry us through every stage of life, yet they are often neglected until discomfort arises. Maintaining their appearance is not just about aesthetics. It is about care, comfort, and confidence. Just as a well-kept garden thrives, feet need regular attention to stay smooth, strong, and youthful. Hydration is key. Skin that is nourished with moisture resists cracks and roughness. Gentle exfoliation removes dull layers, revealing fresh, soft skin beneath. Strengthening exercises keep feet agile, preventing stiffness and imbalance that can lead to poor posture. Wearing properly fitted shoes preserves natural alignment, preventing issues that accelerate aging. Over time, nails can thicken or discolor, but trimming them correctly and keeping them clean prevents complications. Investing in foot care today means walking with ease tomorrow. If pain, calluses, or nail changes become a concern, it is suggested that you see a podiatrist to keep your feet looking and feeling their best.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact David Reynolds, DPM from First Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Evansville, IN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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